MIDLANTIC UROLOGY SURGERY CENTER, LLC


Address: Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087
Phone: 6102300736

MIDLANTIC UROLOGY SURGERY CENTER, LLC (NPI# 1811534555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811534555
Entity Type Organization
Organization Name MIDLANTIC UROLOGY SURGERY CENTER, LLC
Practice Address Valley Forge Office Center, Suite 100
676-656 East Swedesford Road
Wayne
PA 19087
Practice Telephone 6102300736
Mailing Telephone 6102300736
Enumeration Date 2019-12-02
Last Update Date 2019-12-02
Authorized Official Name DOREEN HUGHES (ADMINISTRATOR & DON)
Authorized Official Telephone 6102300736
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address VALLEY FORGE OFFICE CENTER, SUITE 100
676-656 EAST SWEDESFORD ROAD
City WAYNE
State PA
Zip Code 19087

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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Competitor

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City WAYNE
Zip Code 19087

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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